Provider Demographics
NPI:1992703284
Name:SESSIONS, CRAIG E (MD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:E
Last Name:SESSIONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 N MOUND ST
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-4027
Mailing Address - Country:US
Mailing Address - Phone:936-568-8425
Mailing Address - Fax:
Practice Address - Street 1:1023 N MOUND ST STE H
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4453
Practice Address - Country:US
Practice Address - Phone:936-569-9406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8765207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00382973OtherRAILROAD MEDICARE
TX125720605Medicaid
TX0071NSOtherBLUE CROSS/BLUE SHIELD
TX1257206-07Medicaid
TX0071NSOtherBLUE CROSS/BLUE SHIELD
G28743Medicare UPIN
TX612672Medicare PIN
TX125720605Medicaid